Dr Randolph K Peterson, MD in Edina, MN

Dr Randolph K Peterson, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Edina, Minnesota. He went to University Of Minnesota Medical School and graduated in 1993 and has 31 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Minnesota Urology Pa and his current practice location is 6525 France Ave S, Suite 200, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 927-6501.

Dr Randolph K Peterson is licensed to practice in Minnesota (license number 40788) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053380204.

Contact Information

	Dr Randolph K Peterson, MD
	6525 France Ave S, Suite 200, Edina, MN 55435-2148
	(952) 927-6501
	(952) 653-1435

Map and Direction

Physician's Profile

Full Name	Dr Randolph K Peterson
Gender	Male
Speciality	Pathology
Experience	31 Years
Location	6525 France Ave S, Edina, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Randolph K Peterson attended and graduated from University Of Minnesota Medical School in 1993

NPI Data:

NPI Number: 1053380204
Provider Enumeration Date: 03/17/2006
Last Update Date: 11/10/2015

Medicare PECOS Information:

PECOS PAC ID: 2961566096
Enrollment ID: I20090204000093

Medical Identifiers

Medical identifiers for Dr Randolph K Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053380204	NPI	-	NPPES
984811017049	Other	MN	PREFERRED ONE
HP31830	Other	MN	HEALTHPARTNERS
881029000	Medicaid	MN
220033481	Other	MN	RAILROAD MEDICARE
525S5PE	Other	MN	BLUE CROSS
11-00306	Other	MN	MEDICA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	40788 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minnesota Urology Pa	0840183984	67

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Randolph K Peterson allows following entities to bill medicare on his behalf.

Entity Name	Minnesota Urology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912971912 PECOS PAC ID: 0840183984 Enrollment ID: O20040204000003

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randolph K Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Randolph K Peterson, MD 6525 France Ave S, Suite 200, Edina, MN 55435-2148 Ph: (952) 927-6501	Dr Randolph K Peterson, MD 6525 France Ave S, Suite 200, Edina, MN 55435-2148 Ph: (952) 927-6501

Reviews and Comments

Pathology Doctors in Edina, MN

Kathrine P. Frey, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6401 France Ave S, Edina, MN 55435 Phone: 952-924-5000
Bruce C. Trautman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6401 France Ave S, Edina, MN 55435 Phone: 952-924-5000
Shannon Welter, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6401 France Ave S, Edina, MN 55435 Phone: 952-924-5000
Gary J. Carlson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 6401 France Ave S, Edina, MN 55435 Phone: 952-924-5000
Daniel Berntson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 6401 France Ave S, Edina, MN 55435 Phone: 952-924-5000
Dale C. Snover, MD Pathology Medicare: Medicare Enrolled Practice Location: 6401 France Ave S, Edina, MN 55435 Phone: 952-924-5000

Dr Randolph K Peterson, MD - Medicare Pathology in Edina, MN